| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
82,476 |
57,323 |
$5.92M |
| 99051 |
|
1,062 |
822 |
$11K |
| 99499 |
|
152 |
123 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48,517 |
36,225 |
$235.27 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,167 |
3,645 |
$24.84 |
| 92551 |
|
8,638 |
6,039 |
$10.95 |
| 94760 |
|
1,752 |
1,214 |
$7.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,942 |
8,234 |
$7.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,299 |
2,565 |
$5.51 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,891 |
5,792 |
$2.13 |
| 83655 |
|
290 |
248 |
$1.87 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,296 |
2,828 |
$0.65 |
| 90649 |
|
66 |
53 |
$0.00 |
| 90473 |
|
1,828 |
1,530 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,625 |
6,144 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,667 |
3,926 |
$0.00 |
| 99173 |
|
9,773 |
7,052 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,066 |
1,723 |
$0.00 |
| 81002 |
|
260 |
173 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,105 |
3,726 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,308 |
1,659 |
$0.00 |
| 90670 |
|
3,338 |
2,777 |
$0.00 |
| 90648 |
|
1,537 |
1,257 |
$0.00 |
| 96160 |
|
1,356 |
898 |
$0.00 |
| 90633 |
|
2,077 |
1,704 |
$0.00 |
| 90380 |
|
29 |
22 |
$0.00 |
| 90710 |
|
150 |
124 |
$0.00 |
| 90734 |
|
131 |
107 |
$0.00 |
| 90707 |
|
205 |
162 |
$0.00 |
| 90700 |
|
278 |
227 |
$0.00 |
| 99188 |
|
152 |
117 |
$0.00 |
| 90680 |
|
2,144 |
1,792 |
$0.00 |
| 90723 |
|
974 |
789 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,392 |
6,611 |
$0.00 |
| 85018 |
|
907 |
698 |
$0.00 |
| 99381 |
|
382 |
255 |
$0.00 |
| 90686 |
|
1,360 |
1,171 |
$0.00 |
| 90697 |
|
1,067 |
890 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
857 |
689 |
$0.00 |
| 90677 |
|
611 |
527 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,103 |
1,513 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
310 |
209 |
$0.00 |
| 87807 |
|
1,482 |
1,148 |
$0.00 |
| 90698 |
|
108 |
89 |
$0.00 |
| 97802 |
|
378 |
312 |
$0.00 |
| 90716 |
|
183 |
145 |
$0.00 |
| 90656 |
|
348 |
237 |
$0.00 |
| 90620 |
|
33 |
30 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
565 |
425 |
$0.00 |
| 90696 |
|
148 |
123 |
$0.00 |
| 96380 |
|
92 |
71 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
114 |
95 |
$0.00 |
| 90651 |
|
121 |
106 |
$0.00 |
| 90744 |
|
38 |
27 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
65 |
47 |
$0.00 |
| 91307 |
|
27 |
15 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
26 |
16 |
$0.00 |
| 0001A |
|
14 |
12 |
$0.00 |
| 90381 |
|
15 |
12 |
$0.00 |
| 90657 |
|
24 |
12 |
$0.00 |
| 96127 |
|
35 |
29 |
$0.00 |